University of Washington Tacoma, Tacoma, WA, USA.
University of Texas Health Science Center, El Paso, TX, USA.
Health Promot Pract. 2023 Jul;24(4):597-602. doi: 10.1177/15248399231171950.
Our climate emergency is changing health promotion practice, and we need to increase our efforts. In the 20 years since our journal was published, we have witnessed the pressing challenges incurred by human-caused threats to planetary health. These threats are most profound in communities that are already unjustly under threat from structural factors such as poverty, toxic exposures, and inequitable allocation of resources for promoting their health. Those least responsible for contributing to this emergency, including all living environments in harm's way, will unjustly experience the greatest burdens. This commentary calls for health promotion practice to engage in system change and action in the struggle for climate justice by adopting a planetary health perspective. There must be a just transition from extractive to regenerative economies and actions. We describe our own journey as researchers and health practitioners toward this call for action. We propose a series of system change actions in social, environmental, political, health systems, and health profession education within the scope and responsibility of health promotion practice.
我们的气候紧急情况正在改变健康促进实践，我们需要加大力度。自本刊创刊以来的 20 年里，我们见证了人类对地球健康造成的威胁所带来的紧迫挑战。这些威胁在那些已经因贫困、有毒物质暴露和促进健康的资源不公平分配等结构性因素而受到不公正威胁的社区中最为严重。那些对这场紧急情况最没有责任的人，包括所有处于危险中的生活环境，将不公正地承受最大的负担。这篇评论呼吁健康促进实践通过采取地球健康观来参与为气候正义而进行的系统变革和行动。必须从采掘型经济向再生型经济转变，采取行动。我们描述了自己作为研究人员和健康从业者朝着这一行动呼吁前进的旅程。我们提出了一系列系统变革行动，包括社会、环境、政治、卫生系统以及卫生专业教育，这些行动都在健康促进实践的范围和职责内。
